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Rural Health Information Hub

North Carolina Resources

Factors Responsible for Healthcare Avoidance among Rural Adults in the Eastern Region of North Carolina
Analyzes reasons for healthcare avoidance in rural residents living in North Carolina. Examines 946 survey respondents about themes such as self-perceived health, healthcare utilization, and healthcare avoidance due to cost, complexity, or privacy. Includes demographic breakdown of survey respondents by age, sex, race/ethnicity, education, income, insurance status, health status, and other healthcare access variables.
Author(s): Ashley E. Burch
Citation: Journal of Community Health, 47(5), 737-744
Date: 06/2022
Type: Document
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Evaluation of a Family Connects Dissemination to Four High-Poverty Rural Counties
Results from the Family Connects postpartum home visiting program, conducted in 4 high-poverty rural eastern North Carolina counties from September 2014 through December 2015. Features statistics on Family Connects' impact on infant and parental health and well-being, with breakdowns by intervention group and comparison group.
Author(s): W. Benjamin Goodman, Kenneth A, Dodge, Yu Bai, Robert A. Murphy, Karen O'Donnell
Citation: Maternal and Child Health Journal, 26(5), 1067-1076
Date: 05/2022
Type: Document
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After Two Years of Covid, Economic and Health Woes Persist in Diverse North Carolina Counties
Compares urban Mecklenburg County with rural Anson County and the differing impacts of COVID-19 on the areas. Discusses income, employment, housing, residential segregation, and the availability of hospital beds for COVID-19 treatment in the North Carolina counties.
Author(s): Ari Pinkus, Dante Chinni
Date: 05/2022
Type: Document
Sponsoring organization: American Communities Project
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Supporting Community-Based Family Medicine Residency Training Programs in North Carolina and their Potential Impact on Healthy NC 2030
Examines ways in which training family medicine residents in rural North Carolina communities can address disparities in healthcare access and improve rural population health metrics for all subsets of the population. Describes Healthy NC 2030, a public health initiative that seeks to bridge healthcare disparities in North Carolina. Features a county-level map showing locations of training programs in rural settings and urban settings, and statistics on the distribution of family medicine residency positions in North Carolina, with breakdowns by rural or urban setting.
Author(s): Audy G. Whitman, Geniene Jones, Danny Pate, et al.
Citation: North Carolina Medical Journal, 83(3), 173-177
Date: 05/2022
Type: Document
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Primary Care Clinicians in Low-Access Counties
Evaluates the weighted contribution of advanced practice providers to the primary care workforce in well-served and underserved counties in North Carolina. Features statistics on population per primary care clinician by North Carolina county and composition of the North Carolina primary care workforce from 2017-2019, and a county-level map with shadings showing percentages of nurse practitioners, physician assistants, and certified nurse-midwives in 2017-2019.
Author(s): Adam J. Zolotor, Evan Galloway, Margaret Beal, Erin P. Fraher
Citation: North Carolina Medical Journal, 83(3), 163-168
Date: 05/2022
Type: Document
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Evaluating Access to Pediatric Dental Care in the Southeast States
Analyzed 2019 American Community Survey data to evaluate dental care access for children in 10 southeastern states. Considers insurance type and rurality. Makes recommendations for policymakers considering interventions. Note the abstract to the publisher's final edited version of this article.
Author(s): Nicoleta Serban, Simin Ma, Katrine Pospichel, Lisha Yang
Citation: The Journal of the American Dental Association, 153(4), 330-341
Date: 04/2022
Type: Document
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Key Stakeholder Perspectives on Challenges and Opportunities for Rural HPV Vaccination in North and South Carolina
Results of a study to identify challenges or opportunities for increasing adolescent vaccination, including Human Papillomavirus (HPV) vaccination, in rural communities in the southern United States. Uses data from interviews with 14 stakeholders from public health agencies or schools in North Carolina and South Carolina from November 2019 through January 2020.
Author(s): Laura J. Fish, Sayward E Harrison, Jodi-Ann McDonald, et al.
Citation: Human Vaccines & Immunotherapeutics, 18(5)
Date: 04/2022
Type: Document
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Bridging the Urban-Rural Divide in Chronic Disease Through Community Engagement in Health Program Delivery
Discusses health disparities in rural versus urban communities in North Carolina and possible solutions for community-centered change. Includes charts and maps that detail rural-urban differences in mortality, heart disease, and housing problems.
Author(s): Lori Carter-Edwards, Monica M. Taylor
Citation: North Carolina Medical Journal, 83(2), 103-106
Date: 03/2022
Type: Document
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The Clinical and Business Cases for Opening a Maternity Care Unit in a CAH
A case study of a rural North Carolina partnership that worked together to add a new wing for a maternity unit at a 25-bed Critical Access Hospital. Explains how the service was planned to be financially viable. Describes maternal and infant health disparities in the region and discusses how this new service will meet the needs of the population with culturally and linguistically accessible care.
Date: 01/2022
Type: Document
Sponsoring organization: American Hospital Association
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At the Heart of Community-Engaged Research in Halifax County, N.C.
Describes a research project through North Carolina Central University (NCCU) that examines health disparities in rural Halifax County, NC and that places emphasis on building trust between researchers and the community. Discusses community-engaged research methodologies and the process of training researchers to conduct such research.
Date: 11/2021
Type: Document
Sponsoring organization: National Institute on Minority Health and Health Disparities
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Additional resources are available. See a full list of North Carolina Resources.


Last Updated: 1/29/2024